Kimberley Kay Mendez, MSN, RN, FNP-BC in Plymouth, IN

Kimberley Kay Mendez, MSN, RN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Plymouth, Indiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint Joseph Regional Medical Center- Plymouth Campus Inc and her current practice location is 510 W Adams St Ste 150, Plymouth, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-7900.

Kimberley Kay Mendez is licensed to practice in Indiana (license number 71004269A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043555394.

Contact Information

	Kimberley Kay Mendez, MSN, RN, FNP-BC
	510 W Adams St Ste 150, Plymouth, IN 46563-1789
	(574) 335-7900
	(574) 335-0850

Map and Direction

Provider's Profile

Full Name	Kimberley Kay Mendez
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	510 W Adams St Ste 150, Plymouth, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberley Kay Mendez graduated from nursing school in 2012

NPI Data:

NPI Number: 1043555394
Provider Enumeration Date: 11/27/2012
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7012161946
Enrollment ID: I20130131000189

Medical Identifiers

Medical identifiers for Kimberley Kay Mendez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043555394	NPI	-	NPPES
201128480	Medicaid	IN
1102333420	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28175128A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71004269A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center - Plymouth	Plymouth, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Joseph Regional Medical Center- Plymouth Campus Inc	9537071337	16

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberley Kay Mendez allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health La Porte Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760593776 PECOS PAC ID: 0345147963 Enrollment ID: O20031212000670

Entity Name	Saint Joseph Regional Medical Center- Plymouth Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

Entity Name	Saint Joseph Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberley Kay Mendez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberley Kay Mendez, MSN, RN, FNP-BC 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: (574) 335-8707	Kimberley Kay Mendez, MSN, RN, FNP-BC 510 W Adams St Ste 150, Plymouth, IN 46563-1789 Ph: (574) 335-7900

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, IN

Jessica Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-523-3160
Eric Eugene Spohn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 990 Illinois St, Plymouth, IN 46563 Phone: 574-936-9646
Marla M Troyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-335-0745
Mrs. Julie Marie Brandy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 119, Plymouth, IN 46563 Phone: 574-941-1000 Fax: 574-941-1075
Lauren Grace Tanner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Water St, Plymouth, IN 46563 Phone: 574-540-2052 Fax: 574-540-2540
Kathryn Lynn Zehr, DNP, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave Ste 110, Plymouth, IN 46563 Phone: 574-948-5290 Fax: 574-948-5495

Kimberley Kay Mendez, MSN, RN, FNP-BC - Medicare Nurse Practitioner in Plymouth, IN